Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Ultrasound criteria for assessing the significance of brachiocephalic artery stenosis. Part 1. Internal carotid arteries

Authors: Gansukh A.1, Byambazhav O.1, Shumilina M.V.2, Shchanitsyn I.N.2

Company:
1 “Oyun-Onosh” Center of the Mongolian Academy of Sciences, Bayangol district, Ulaanbaatar, Mongolia
2 Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20S1-5-17

UDC: 616.133-007.271-073.43

Link: Clinical Physiology of Blood Circulaiton. 2023; Спецвыпуск (20): 5-17

Quote as: Gansukh A., Byambazhav O., Shumilina M.V., Shchanitsyn I.N. Ultrasound criteria for assessing the significance of brachiocephalic artery stenosis. Part 1. Internal carotid arteries. Clinical Physiology of Circulation. 2023; 20 (Special Issue 1): 5–17 (in Russ.). DOI: 10.24022/1814-6910-2023-20S1-5-17

Received / Accepted:  05.09.2023 / 27.10.2023

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Abstract

A literature review was conducted to determine the place of duplex ultrasound in modern diagnostics of brachiocephalic artery pathology (carotid, vertebral, subclavian) with an emphasis on hemodynamic assessment of the degree of stenosis. The studies demonstrate the importance of standardization of carotid artery ultrasound. There are disagreements in determining the hemodynamic significance of carotid artery stenosis. The analysis of the criteria recommended by the SRU (Society of Radiologists in Ultrasound) in 2023 showed their low prognostic value. Given the lack of standardized confirmed threshold values, each laboratory should conduct proper validation of hemodynamic criteria to create a diagnostic algorithm. Further studies are needed to clarify the hemodynamic criteria for the degree of stenosis, as well as signs of an unstable carotid plaque to determine treatment tactics.

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About Authors

  • Amarzhargal Gansukh, Associate Professor, Researcher, Ultrasonic Diagnostician and Neuroradiology Doctor; ORCID
  • Oyuun Byambazhav, Cand. Med. Sci., Professor, Ultrasonic Diagnostician and Neuroradiology Doctor; ORCID
  • Margarita V. Shumilina, Dr. Med. Sci., Professor of Chair, Head of Department, Ultrasonic Diagnostician; ORCID
  • Ivan N. Shchanitsyn, Cand. Med. Sci., Researcher, Cardiovascular Surgeon; ORCID

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